2024-08-07T17:59:44-05:00 2023-12-31 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2023-01-01 820380784 KOOTENAI HEALTH INC KOOT 2086254438 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 KATHLEEN BRODIE BOARD CHAIR 2086254438 2024-07-30 1 1 SAM BRUNSON CPA P01696998 4067281800 2024-07-30 2023 2024-08-08 14:25:15Z KATHLEEN BRODIE 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 2456759 0 X KOOTENAIHEALTHFOUNDATION.ORG X 1983 ID ONE CONNECTED TEAM BOLDLY TRANSFORMING THE HEALTH CARE EXPERIENCE TO BECOME A PREMIER MEDICAL DESTINATION. X 9 9 0 147 0 0 4139225 1397152 0 0 295223 66587 204660 33143 4639108 1496882 3802689 991838 0 0 377347 131168 0 0 44012 213296 90491 4393332 1213497 245776 283385 15049750 2604566 344547 191173 14705203 2413393 WE IMPROVE HEALTH ONE PATIENT AT A TIME IN A FRIENDLY AND PROFESSIONAL CULTURE COMMITTED TO SUPERIOR QUALITY AND SAFETY. 0 0 814972 814972 IN 2023, KOOTENAI HEALTH FOUNDATION GAVE KOOTENAI HEALTH OVER $814,000 TO DIRECTLY BENEFIT THE PATIENTS AND STAFF.THE FOUNDATION WAS ABLE TO PROVIDE:-OVER $3,000 IN EQUIPMENT FOR THE DEPARTMENTS INCLUDING ZINNIA TV FOR DEMENTIA PATIENTS AND SUPPLIES FOR PEDIATRIC CART IN EMERGENCY DEPARTMENT. -OVER $5,000 FOR IDAHO TSE LEVEL II STROKE DESIGNATION FEE-OVER $61,000 FOR EMPLOYEE, PATIENT AND COMMUNITY BENEFIT PROGRAMS INCLUDING THE FAMILY FUND AND CANCER PATIENT SUPPORT PROGRAM-OVER $63,000 FOR GERIATRIC TRAINING FOR STAFF-OVER $682,000 TO SUPPORT PHYSICIAN RETENTION AND RECRUITMENT, ADDICTION RECOVERY AND FORENSIC NURSING STAFF POSITIONS 176866 176866 IN 2023, ST. MARY'S HEALTH FOUNDATION AND CLEARWATER VALLEY HEALTH & CLINICS FOUNDATION PROVIDED OVER $176,000 TO DIRECTLY BENEFIT THE PATIENTS AND SURROUNDING COMMUNITY.-$169,000 TO HELP PURCHASE A MOBILE MAMMOGRAPHY BUS-OVER $7,000 FOR COMMUNITY PROGRAMS INCLUDING FOOD BANKS, BOOKS FOR CLINICS AND GAS CARDS FOR MEDICAL APPOINTMENTS 991838 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 X 2 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 1 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 CA X CARA NIELSEN 2086254455 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 KATHLEEN BRODIE CHAIR 1.00 X X 0 0 0 ROBERT COLVIN VICE CHAIR 1.00 X X 0 0 0 DAVE BOBBITT SECRETARY/TREASURER 1.00 X X 0 0 0 CHAD MURRAY CHAIR (THRU 5/1/23) 1.00 X X 0 0 0 RANDY OAKS VICE CHAIR (THRU 5/1/23) 1.00 X X 0 0 0 CHRISTOPHER MEYER PAST CHAIR (THRU 5/1/23) 1.00 X X 0 0 0 DARIN HAYES SECRETARY (THRU 5/1/23) 1.00 X X 0 0 0 SCOTT ANDERSON TREASURER (THRU 5/1/23) 1.00 X 0 0 0 CINDY CLARK DIRECTOR 1.00 X 0 0 0 DR THOMAS DETAR DIRECTOR 1.00 X 0 0 0 LIZ GODBEHERE DIRECTOR 1.00 X 0 0 0 STEVE MATHESON DIRECTOR 1.00 X 0 0 0 DR ROBERT MCFARLAND DIRECTOR 1.00 X 0 0 0 TERI FARR DIRECTOR 1.00 X 0 0 0 REBECCA BOIFEUILLET DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 TODD CHAPMAN DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 MARY BRINKMAN DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 KREG SHELBY DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 SARAH PIERCE DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 HEIDI ROGERS DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 LINDA FOURNIER DIRECTOR (THRU 1/3/23) 1.00 X 0 0 0 MIKE STEGMANN DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 NANCY ALMOND DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 DR EMILY PETERSEN DIRECTOR (THRU 5/1/23) 1.00 X 0 0 0 CARA NIELSEN PRESIDENT 40.00 X 243857 0 25087 243857 0 25087 1 0 1 1 0 219163 147047 1030942 21843 1397152 99502 99502 881019 913934 -32915 -32915 -32915 70156 219163 41566 28590 28590 8930 4377 4553 4553 1496882 0 0 99730 991838 991838 85798 66006 19792 44622 34329 10293 748 748 26765 26765 8360 8360 38875 38875 11016 11016 4063 1152 2911 1412 1412 1213497 991838 177647 44012 1003191 104525 1127257 0 393118 7907 1434 0 1135000 10144089 2301511 9316 0 1236345 190623 15049750 2604566 71286 550 86976 0 186285 190623 344547 191173 X 8806637 560069 5898566 1853324 14705203 2413393 15049750 2604566 X 283385 577191 -52273 -13100113 X X 0 1 X 1 0 X 1242482 2752369 1803929 4139225 1397152 11335157 1242482 2752369 1803929 4139225 1397152 11335157 2928825 8406332 527144 462059 451792 484373 99502 2024870 33143 33143 13393170 0.62770 0.61740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1694434 45204 1739638 1931932 674 -238172 1694434 1824185 1100 106647 1931932 1759506 330 64349 1824185 1614100 32330 113076 1759506 0.00000 0.93530 0.06470 0 0 0 ASSET HELD UNDER SPLIT INTEREST AGREEMENT 190623 190623 LIABILITY UNDER SPLIT-INTEREST AGREEMENT 190623 190623 X PART V, LINE 4: THE PRIMARY LONG-TERM FINANCIAL OBJECTIVE FOR THE FOUNDATION'S ENDOWMENTS IS TO PRESERVE THE REAL PURCHASING POWER OF ENDOWMENT ASSETS AND INCOME AFTER ACCOUNTING FOR ENDOWMENT SPENDING AND COSTS OF PORTFOLIO MANAGEMENT. THE ENDOWMENT FUNDS ARE MANAGED TO OPTIMIZE THE LONG RUN TOTAL RATE OF RETURN ON INVESTED ASSETS, ASSUMING A PRUDENT LEVEL OF RISK. THE GOAL FOR THIS RATE OF RETURN IS ONE THAT PROVIDES FUNDING FOR THE FOUNDATION'S EXISTING SPENDING POLICY. THE ENDOWMENT ASSETS ARE GOVERNED BY A SPENDING POLICY THAT SEEKS TO DISTRIBUTE A SPECIFIC PAYOUT RATE OF THE ENDOWMENT BASE TO SUPPORT THE FOUNDATION'S PROGRAMS FOR WHICH THE ENDOWMENTS WERE ESTABLISHED BY THE DONORS. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE LAW, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE. ACCORDINGLY, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THERE ARE ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. FESTIVAL OF TREES 138100 119562 18538 19115 KHF GOLF TOURNAMENT 107630 78100 29530 1500 382 2 43589 21501 22088 2699 7547 10323 289319 219163 70156 2699 26662 1500 10705 41566 28590 8930 3499 878 1 0.60000 8930 3499 878 4377 4553 ID 1 0 1 0 0.29000 0.71000 LISA VOLLERT 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 0 KALI SINGLETON 0 OVERSEES THE RAFFLES TO MAKE SURE DONE CORRECTLY; NO ADDITIONAL COMPENSATION FOR THESE SERVICES INCLUDED IN REGULAR SALARY FOR HER POSITION. X 0 1 KOOTENAI HEALTH 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 STATE OF IDAHO 810151 4821 SUPPORT FOR VARIOUS HOSPITAL DEPARTMENTS CLEARWATER VALLEY HEALTH 301 CEDAR OROFINO ID 83544 820497771 501(C)(3) 100917 0 PAYMENT TOWARDS MOBILE MAMMOGRAPHY BUS AND SUPPORT TO VARIOUS HOSPITAL DEPTS ST MARY'S HEALTH PO BOX 137 COTTONWOOD ID 83522 820226453 501(C)(3) 75949 0 PAYMENT TOWARDS MOBILE MAMMOGRAPHY BUS AND SUPPORT TO VARIOUS HOSPITAL DEPTS 3 0 PART I, LINE 2: IN REGARD TO THE ASSISTANCE TO KOOTENAI HEALTH (KH), KH DEPARTMENTS SUBMIT A REQUEST FOR FUNDING FORM THAT IS SIGNED BY THE DIRECTOR AND VICE PRESIDENT FOR THE DEPARTMENT WITH A COPY OF THE INVOICE. THE REQUEST IS REVIEWED BY THE FOUNDATION TO VERIFY FUNDS AVAILABLE THEN APPROVED BY THE PRESIDENT IF THE AMOUNT IS UNDER $25,000, AND THE FOUNDATION BOARD IF OVER $25,000. 0 0 0 0 0 0 0 0 0 CARA NIELSEN PRESIDENT 209838 0 0 0 34019 0 6292 0 18795 0 268944 0 0 0 PART II, LINE 1: AN UNRELATED ORGANIZATION, KOOTENAI HEALTH, COMPENSATED THE PRESIDENT OF KOOTENAI HEALTH FOUNDATION FOR SERVICES PROVIDED TO THE FOUNDATION. THEY PAID $268,944 IN BASE SALARY AND EMPLOYER PAID BENEFITS TO CARA NIELSEN. THE FOUNDATION REIMBURSES KOOTENAI HEALTH FOR 75% OF THE SALARY FOR THEIR TIME PROVIDING SERVICES TO THE FOUNDATION. CASH - BANK ACCOUNTS 2023-04-26 1222613 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) WELLS FARGO INVESTMENT ACCOUNTS 2023-05-31 8188445 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) PLEDGE ACCOUNTS RECEIVABLE 2023-05-31 955080 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) PREPAID EXPENSE 2023-05-31 2824 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) SCHNEIDMILLER PROP - PF 2023-05-31 1135000 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) WELLS FARGO INVESTMENT ACCOUNTS 2023-06-30 5310 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) WELLS FARGO INVESTMENT ACCOUNTS 2023-07-31 208 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) WELLS FARGO INVESTMENT ACCOUNTS 2023-08-31 9590 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) WELLS FARGO INVESTMENT ACCOUNTS 2023-09-30 1026803 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) WELLS FARGO INVESTMENT ACCOUNTS 2023-09-30 1901 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) ACCOUNTS RECEIVABLE 2023-10-31 24330 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) ACCOUNTS RECEIVABLE - KH 2023-10-31 48349 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) INNOVIA ENDOWMENT FUND 2023-11-30 11913 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) LIFE INSURANCE - CASH SURRENER VALUE 2023-11-30 1077898 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) DUE TO KOOTENAI HEALTH 2023-11-30 -956519 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) INNOVIA ENDOWMENT FUND 2023-11-30 -11913 BOOK VALUE` 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) CASH - BANK ACCOUNTS 2023-12-31 94852 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) PLEDGE PRESENT VALUE DISCOUNT 2023-12-31 -63743 BOOK VALUE 921896475 KOOTENAI HEALTH FOUNDATION (NEW) 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 501(C)(3) 0 0 0 0 FORM 990, PART V, LINE 2: AN UNRELATED ORGANIZATION, KOOTENAI HEALTH, PAYS ALL OF THE FOUNDATION'S EMPLOYEE WAGES. THEREFORE, THE FOUNDATION DOES NOT HAVE EMPLOYEES. THE AMOUNT REFLECTED IN FORM 990 PART IX REFLECTS 75% OF SOLELY THE SALARIES THE FOUNDATION REIMBURSES KOOTENAI HEALTH. THE FOUNDATION DOES NOT REIMBURSE FOR BENEFITS. FORM 990, PART VI, SECTION A, LINE 4 IN MAY 2023, THE FOUNDATION BOARD OF DIRECTORS APPOINTED THE KOOTENAI HEALTH HOSPITAL DISTRICT BOARD AS DIRECTORS OF THIS ORGANIZATION AND RESIGNED. IMMEDIATELY, KOOTENAI HEALTH HOSPITAL DISTRICT BOARD ADOPTED NEW BYLAWS. SIGNIFICANT CHANGES INCLUDE: - THE EXEMPT PURPOSE CHANGED TO PROMOTE AND PROVIDE HEALTH CARE THROUGH THE OPERATION OF HOSPITALS AND THE PROVISION OF SERVICES, FACILITIES AND PERSONNEL IN ACCORDANCE WITH THE PROVISIONS OF APPLICABLE FEDERAL, STATE AND LOCAL LAW. - THE ORGANIZATION'S LEGAL NAME CHANGED TO KOOTENAI HEALTH, INC. - THE NUMBER OF BOARD DIRECTORS WAS CHANGED TO BE NOT LESS THAN 9 AND NOT MORE THAN 15. - DISTRIBUTION OF ASSETS UPON DISSOLUTION CHANGED TO 1) OTHER HOSPITALS OR HEALTH SYSTEMS IN AREA SERVED, 2) KOOTENAI HOSPITAL DISTRICT (IF IN EXISTENCE), 3) OTHER ORGANIZATIONS THAT CAN MOST NEARLY CARRY OUT THE PURPOSES OF THE CORPORATION AS OUTLINED IN THE ARTICLES OF INCORPORATION, PROVIDED THAT ASSETS MUST BE FOR PUBLIC HEALTH PURPOSES AND MUST BE DISTRIBUTED TO ORGANIZATIONS OPERATING FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES AS QUALIFIED BY THE IRS AS A 501(C)(3) ORGANIZATION. - COMPOSITION AND PROCEDURES OF THE AUDIT COMMITTEE CHANGED - AS OUTLINED IN THE NEW BYLAWS, THE ORGANIZATION MUST HAVE A STANDING FINANCE AND AUDIT COMMITTEE WITH THE SCOPE OUTLINED IN THE COMMITTEE CHARTER. - POLICIES AND PROCEDURES REMAINED THE SAME. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS AT LEAST 5 CORPORATE MEMBERS WHO ARE BROADLY REPRESENTATIVE OF THE COMMUNITY SERVED. MEMBERS ARE RESPONSIBLE FOR ELECTING AND REMOVING DIRECTORS, APPROVING AMENDMENTS TO THE ARTICLES, APPROVING PLANS OF MERGER INVOLVING THE CORPORATION, AND APPROVING DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE BROADLY REPRESENTATIVE OF THE COMMUNITY SERVED. MEMBERS ARE RESPONSIBLE FOR ELECTING AND REMOVING DIRECTORS, APPROVING AMENDMENTS TO THE ARTICLES, APPROVING PLANS OF MERGER INVOLVING THE CORPORATION, AND APPROVING DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS ARE RESPONSIBLE FOR ELECTING AND REMOVING DIRECTORS, APPROVING AMENDMENTS TO THE ARTICLES, APPROVING PLANS OF MERGER INVOLVING THE CORPORATION, AND APPROVING DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT ARE ABLE TO ACT ON BEHALF OF THE GOVERNING BOARD. MINUTES OF COMMITTEE MEETINGS AND COMMITTEE RECOMMENDATIONS ARE SUBMITTED TO THE BOARD AS A WHOLE FOR CONSIDERATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT FIRM PRESENTS THE FORM 990 TO THE BOARD OF DIRECTORS AT A MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS ARE REQUIRED TO REPORT CONFLICTS AT REGULAR BOARD MEETINGS. IN ADDITION, THE BOARD MEMBERS AND THE OFFICERS OF THE ORGANIZATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY. IF THERE IS A POTENTIAL CONFLICT, ALL REMAINING BOARD MEMBERS WILL DETERMINE IF A TRUE CONFLICT EXISTS. IF SO, THE INDIVIDUAL WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON THE ISSUE AT HAND. FORM 990, PART VI, SECTION B, LINE 15 ALL EMPLOYEES ARE PAID BY AN UNRELATED ORGANIZATION, KOOTENAI HEALTH. THE COMPENSATION FOR THE PRESIDENT REPORTED IN PART VII IS DETERMINED, DOCUMENTED, AND REVIEWED ANNUALLY BY KOOTENAI HEALTH BASED ON COMPENSATION DATA PROVIDED BY SULLIVAN COTTER AND ASSOCIATES, INC., AN INDEPENDENT PARTY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 29,250. TRANSFER OF ASSETS TO NEW FOUNDATION -13,129,363. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. THE MARVIN AND ROCHELLE MABERRY UNITRUST 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 826078525 UNITRUST ID KOOTENAI HEALTH INC T 5585 190623 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0